IMPAIRED ADJUSTMENTS Nursing Care Plan

Most people really hard to accept changes that suddenly appears in their life, because people tend to stay in comfort than to take the risk to move forward. We are fear and so afraid to accept adjustments and sometimes people need a lot of time like weeks or months to accept and to adjust about these changes. That is why nurses are challenged to take care these people who have impaired adjustments. It is really challenging on how a person will trust you and trust your interventions especially if these people are not looking for a change or to modify their life. That is why the nurse must explain to the patient that these changes will result a more favorable outcome and will not create more problems. This is a nursing care plan sample about impaired adjustment of Mr. Dutrio, 78 years old, former City Mayor on provincial area. The patient is diagnosed with type-2 diabetes and the doctors imply to make adjustments in his nutritional diet, leading to reduce his intake of foods with high- carbohydrates and stopping him to drink alcohol. The patient is rejecting those changes and denies of having type-2 diabetes. If the patient do not make adjustments, this could lead to complications like blindness and amputation.

Assessment:

SUBJECTIVE:
The patient verbally denies his health status

OBJECTIVE:
The patient rejects medical treatment, leading to a failure to take actions that would prevent further health problems. There patient refuses to communicate with the nurse and rejects nursing intervention. The patient still eats food and drink beverages that could lead to life-threatening condition. The patient acts energetic to hide his health condition.

MATURATIONAL ENURESIS Nursing Care Plan

Maturational enuresis occurs as a natural phenomenon among children, like this kid, named Zion, 7 years old boy who often experienced wetting in bed while sleeping at night. Zion seems to have no problem but is he? There are a lot of factors that causes voiding in bed at night, from physical, physiological, emotional, to psychosocial. Identifying the cause of maturational enuresis will surely solve Zion's problem. The challenge to the nurse is the boy's participation through the courses of nursing care. Note that the boy may deny that he didn't do voiding during the night and rejects any actions or intervention. Below is a nursing care plan sample of maturational enuresis of Boy Zion, 7 years old, smartkid in school. 

ASSESSMENT:

Subjective:
"I always peed my bed every night," the boy said.

Objective:
(The boy is actually normal since this nursing diagnosis is not pathologic in nature.)

RISK FOR ADVERSE REACTION TO IODINATED CONTRAST MEDIA Nursing Care Plan

Do you also have allergies? Do you know that it is really important that others know your allergies? You must not hide it or feel shame of it even it is the worst allergy. Most people experienced life-threatening situation when they expose to their allergen. As a nurse, you must ask your patient if they have allergies especially allergy in medication, substance, and food. Levine, a 47 years l old female who works in a telemarketing company, recently diagnosed with a mass in left breast. The said that she needs a CT scan to check the mass. She needs to infused iodine contest media but unfortunately, the nurse learned that she is allergic to iodine. Below is a sample of nursing care plan for risk of adverse reaction to iodine contrast media. 

ASSESSMENT:

Subjective:
"I have an allergy to iodine", the patient said verbally.

Objectives:
- Anxiety
- Records of past history of allergic to iodine

- Vital signs normal

- Visible mass on chest

IMPAIRED PARENTING Nursing Care Plan

When I became a father of a daughter, I honestly felt happy and afraid. I'm happy because now there is someone I will raise and raise this child to be a good person with a purest heart but on the other hand, I'm afraid because I don't know what to do and how should I start. And that moment, I realized that the reason of a child having a father and a mother is to both of them will help together to take care of their child. However, in some cases, the parent don't want to take care of their child. For some reason, they just wish they did not have a child. Like Mrs. Davelle, a 45 years old female, former news anchor on a former TV broadcast company. She said that she doesn't really want her child and she has been exposing anger towards her child. It's like she neglects having the child and feels so disappointed.

Assessment:

Subjective: "I really don't want that child." said by the parent.

IMBALANCED NUTRITION: MORE THAN BODY REQUIREMENTS Nursing Care Plan

There's a lot of cases and different patients that undergoes nursing care related to imbalanced nutrition. Most of them are related to malnutrition and obese. One good example is Ms. Josu, 42 years old, newscaster on famous TV Channel. She have this obsession with drinking milktea, and it is like she can't work, can't sleep, can't finished her lunch without drinking it. In just 18 months of continuous intake of milktea, two to three times each day, her weight increase dramatically until she reach more than 20% of her ideal body weight. Unfortunately, as weeks past, she experienced lots of problems of having her huge body, and she felt the need to stop the cause of increasing weight, drinking milktea. Below is a nursing care plan sample about imbalanced nutrition: more than body requirements of Ms. Josu, 42 years old, newscaster on famous TV Channel.

Assessment:

Subjective: "I want to lose weight but I always buy and drink my favorite milktea twice or trice everyday," said by a 42-year old female client.

IMPAIRED SWALLOWING Nursing Care Plan

You know difficulty in swallowing or impaired swallowing is very disturbing. You can't do your work properly, you can't speak properly, and especially, you can't eat properly. There are different reasons why people experience difficulty of swallowing and most of them are mild cases and non life-threatening. However, a patient having like this kind of discomfort is eager to have a nursing care. Like Mr. Hans who recently undergone radiotheraphy and experiencing esophagitis. Since he is a radio announcer, having impaired swallowing is very disturbing for him. Below is a sample of nursing care plan of impaired swallowing of Mr. Hans.

Assessment:

IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS Nursing Care Plan

I, for myself, tried intermittent fasting, a 16:8 diet where in you have to stop eating or drinking with calories for 16 hours and then eat your usual meal after. First week of doing it, I experienced mild headache, stomachache very common, and very anxious about the time. The result, however, very promising, a big drop in my weight for two months of doing it. Don't misjudge me, I really love eating but discipline and desire will make a body of your dream. Like this girl Tracey, 23 years old, vlogger and freelance model, maintains her slim body by eating only once each day with adequate intake of liquids. Unfortunately, her obsession to lose weight makes her so thin, so skinny that lead to imbalanced nutrition: less than body requirements. Below is a sample of nursing care plan of imbalanced nutrition: less than body requirements of Tracey. If you want NCP for imbalanced nutrition: more than body requirements you can also check it out.

Assessment:

Subjective: "I only eat once a day, 'cause I don't wanna get fat." as verbalized by the patient.

Objectives: